Transurethral incision as initial option in treatment guidelines for ectopic ureteroceles associated with duplex systems

Jee Soo Park, Yong Seung Lee, Cho Nyeong Lee, Sung Hoon Kim, Sang Woon Kim, Hyeyoung Lee, Sangwon Han

Research output: Contribution to journalArticle

Abstract

Purpose: Treatment strategies for children with ectopic ureteroceles (EUs) and duplex collecting systems or vesicoureteral reflux are controversial. Transurethral incision (TUI) of EUs associated with duplex systems has been considered only as a temporizing technique. This study aimed to evaluate whether primary TUIs could be considered as an initial treatment option in EUs with duplex systems. Materials and methods: Forty-seven children with EUs associated with duplex systems underwent primary TUIs at our institution between November 2007 and October 2017. We retrospectively analyzed patient characteristics such as age, sex, upper tract status, ureterocele location, differential renal function, and preoperative vesicoureteral reflux with regard to postoperative complications requiring additional surgery, postoperative incontinence, and renal function. Results: The mean age at operation was 4.8 ± 4.7 months. Of the 47 patients, 26 (55.3%) underwent primary TUIs only, 3 (6.4%) underwent secondary TUIs, and 18 (38.3%) underwent other secondary procedures such as common-sheath reimplantation (CSR) and ureterocelectomy. Secondary surgeries in 21/47 (44.7%) patients occurred during a mean follow-up of 47.7 ± 23.3 months, and the most common type of secondary surgery was CSR. The most common reason for secondary surgery was febrile urinary tract infection (14/21 patients [66.7%]). There were three cases (3/26 [11.5%]) of voiding problems after primary TUI and two cases (2/15 [13.4%]) after secondary CSR. Conclusions: Primary TUIs should be considered as initial treatment options for EUs in duplex systems and not just a temporizing technique.

Original languageEnglish
JournalWorld Journal of Urology
DOIs
Publication statusAccepted/In press - 2019 Jan 1

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Ureterocele
Guidelines
Replantation
Vesico-Ureteral Reflux
Therapeutics
Kidney
Urinary Tract Infections
Fever

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Park, Jee Soo ; Lee, Yong Seung ; Lee, Cho Nyeong ; Kim, Sung Hoon ; Kim, Sang Woon ; Lee, Hyeyoung ; Han, Sangwon. / Transurethral incision as initial option in treatment guidelines for ectopic ureteroceles associated with duplex systems. In: World Journal of Urology. 2019.
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title = "Transurethral incision as initial option in treatment guidelines for ectopic ureteroceles associated with duplex systems",
abstract = "Purpose: Treatment strategies for children with ectopic ureteroceles (EUs) and duplex collecting systems or vesicoureteral reflux are controversial. Transurethral incision (TUI) of EUs associated with duplex systems has been considered only as a temporizing technique. This study aimed to evaluate whether primary TUIs could be considered as an initial treatment option in EUs with duplex systems. Materials and methods: Forty-seven children with EUs associated with duplex systems underwent primary TUIs at our institution between November 2007 and October 2017. We retrospectively analyzed patient characteristics such as age, sex, upper tract status, ureterocele location, differential renal function, and preoperative vesicoureteral reflux with regard to postoperative complications requiring additional surgery, postoperative incontinence, and renal function. Results: The mean age at operation was 4.8 ± 4.7 months. Of the 47 patients, 26 (55.3{\%}) underwent primary TUIs only, 3 (6.4{\%}) underwent secondary TUIs, and 18 (38.3{\%}) underwent other secondary procedures such as common-sheath reimplantation (CSR) and ureterocelectomy. Secondary surgeries in 21/47 (44.7{\%}) patients occurred during a mean follow-up of 47.7 ± 23.3 months, and the most common type of secondary surgery was CSR. The most common reason for secondary surgery was febrile urinary tract infection (14/21 patients [66.7{\%}]). There were three cases (3/26 [11.5{\%}]) of voiding problems after primary TUI and two cases (2/15 [13.4{\%}]) after secondary CSR. Conclusions: Primary TUIs should be considered as initial treatment options for EUs in duplex systems and not just a temporizing technique.",
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Transurethral incision as initial option in treatment guidelines for ectopic ureteroceles associated with duplex systems. / Park, Jee Soo; Lee, Yong Seung; Lee, Cho Nyeong; Kim, Sung Hoon; Kim, Sang Woon; Lee, Hyeyoung; Han, Sangwon.

In: World Journal of Urology, 01.01.2019.

Research output: Contribution to journalArticle

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T1 - Transurethral incision as initial option in treatment guidelines for ectopic ureteroceles associated with duplex systems

AU - Park, Jee Soo

AU - Lee, Yong Seung

AU - Lee, Cho Nyeong

AU - Kim, Sung Hoon

AU - Kim, Sang Woon

AU - Lee, Hyeyoung

AU - Han, Sangwon

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Y1 - 2019/1/1

N2 - Purpose: Treatment strategies for children with ectopic ureteroceles (EUs) and duplex collecting systems or vesicoureteral reflux are controversial. Transurethral incision (TUI) of EUs associated with duplex systems has been considered only as a temporizing technique. This study aimed to evaluate whether primary TUIs could be considered as an initial treatment option in EUs with duplex systems. Materials and methods: Forty-seven children with EUs associated with duplex systems underwent primary TUIs at our institution between November 2007 and October 2017. We retrospectively analyzed patient characteristics such as age, sex, upper tract status, ureterocele location, differential renal function, and preoperative vesicoureteral reflux with regard to postoperative complications requiring additional surgery, postoperative incontinence, and renal function. Results: The mean age at operation was 4.8 ± 4.7 months. Of the 47 patients, 26 (55.3%) underwent primary TUIs only, 3 (6.4%) underwent secondary TUIs, and 18 (38.3%) underwent other secondary procedures such as common-sheath reimplantation (CSR) and ureterocelectomy. Secondary surgeries in 21/47 (44.7%) patients occurred during a mean follow-up of 47.7 ± 23.3 months, and the most common type of secondary surgery was CSR. The most common reason for secondary surgery was febrile urinary tract infection (14/21 patients [66.7%]). There were three cases (3/26 [11.5%]) of voiding problems after primary TUI and two cases (2/15 [13.4%]) after secondary CSR. Conclusions: Primary TUIs should be considered as initial treatment options for EUs in duplex systems and not just a temporizing technique.

AB - Purpose: Treatment strategies for children with ectopic ureteroceles (EUs) and duplex collecting systems or vesicoureteral reflux are controversial. Transurethral incision (TUI) of EUs associated with duplex systems has been considered only as a temporizing technique. This study aimed to evaluate whether primary TUIs could be considered as an initial treatment option in EUs with duplex systems. Materials and methods: Forty-seven children with EUs associated with duplex systems underwent primary TUIs at our institution between November 2007 and October 2017. We retrospectively analyzed patient characteristics such as age, sex, upper tract status, ureterocele location, differential renal function, and preoperative vesicoureteral reflux with regard to postoperative complications requiring additional surgery, postoperative incontinence, and renal function. Results: The mean age at operation was 4.8 ± 4.7 months. Of the 47 patients, 26 (55.3%) underwent primary TUIs only, 3 (6.4%) underwent secondary TUIs, and 18 (38.3%) underwent other secondary procedures such as common-sheath reimplantation (CSR) and ureterocelectomy. Secondary surgeries in 21/47 (44.7%) patients occurred during a mean follow-up of 47.7 ± 23.3 months, and the most common type of secondary surgery was CSR. The most common reason for secondary surgery was febrile urinary tract infection (14/21 patients [66.7%]). There were three cases (3/26 [11.5%]) of voiding problems after primary TUI and two cases (2/15 [13.4%]) after secondary CSR. Conclusions: Primary TUIs should be considered as initial treatment options for EUs in duplex systems and not just a temporizing technique.

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